Organization
HERSPACE MEDSPA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS A PEROSI MD (PRESIDENT)
(732) 741-9595
Entity
Organization
Contact information
Practice address
200 WHITE RD STE 111, LITTLE SILVER, NJ 07739-1160
(732) 741-9595
Mailing address
200 WHITE RD STE 115, LITTLE SILVER, NJ 07739-1160
(732) 741-9595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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